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Fillable Printable University of Winconsin System Undergraduate Application for Admission

Fillable Printable University of Winconsin System Undergraduate Application for Admission

University of Winconsin System Undergraduate Application for Admission

University of Winconsin System Undergraduate Application for Admission

Applicaon Fee Waiver Request
University of Wisconsin System Undergraduate Applicaon for Admission
Each undergraduate applicaon submied to a University of Wisconsin System university requires a $44 applicaon fee.
A limited number of applicaon fee waivers are available for applicants with extreme nancial hardship. To request a waiver
of the applicaon fee, complete this form and submit it to the Oce of Admissions at the university/universies to which
you are applying. Your request will be reviewed and a determinaon will be made regarding waiver of the fee.
APPLICANT (To be completed by the individual applying for admission.)
Applicant Name: First ________________________ Middle Inial ____ Last (Family) ____________________________
Street Address: ______________________________ City/State/Zip Code: ___________________________________
Area Code & Phone Number: ___________________ Email Address: ________________________________________
Date of Birth (Month/Day/Year): ________________
Please state the reasons you are requesng a waiver:
I cerfy that the informaon in this form is true and correct to the best of my knowledge, and that payment of the
applicaon fee would pose a nancial hardship. I authorize the Financial Aid Oce to release informaon relang to
my nancial need to the Oce of Admissions if requested.
Signature of Applicant: ___________________________________________________________ Date: ______________
Signature of Parent/Guardian (if applicant is under age 18): ______________________________ Date: ______________
VERIFYING OFFICIAL (To be completed by a school or agency ocial who can verify nancial hardship. If you are in high
school, ask your counselor or principal to complete the informaon below. If you have graduated from high school, ask
an agency or university ocial to complete the
informaon.)
Name of Ocial: _______________________________ Title: ________________________________________________
Name of School/Agency/Educaonal Instuon: ___________________________________________________________
Area Code & Phone Number: _____________________ Email Address: ________________________________________
Please state your knowledge of the nancial need of the applicant. (Examples of nancial hardship may include, but
not be limited to, unemployment (of parent/guardian if dependent, or of self if independent); parcipaon in a free or
reduced lunch program; and/or low income in relaon to family size.):
Signature of Verifying Ocial: ____________________________________________________ Date: ________________
FOR OFFICE USE ONLY
Admissions Ocial: _________________________ Date: ________ Waiver Granted Waiver Denied
Comments:
UW-Eau Claire UW-Green Bay UW-La Crosse
P.O. Box 4004 2420 Nicolet Drive 1725 State Street
Eau Claire, WI 54702-4004 Green Bay, WI 54311-7001 La Crosse, WI 54601-3788
(715) 836-5415 (920) 465-2111 (608) 785-8939
UW-Madison UW-Milwaukee UW-Oshkosh
Office of Admissions and Recruitment P.O. Box 749 P.O. Box 2423
702 West Johnson Street, Suite 1101 Milwaukee, WI 53201-0749 Oshkosh, WI 54903-2423
Madison, WI 53715-1007 (414) 229-3800 (920) 424-3164
onwisconsin@admissions.wisc.edu
UW-Parkside UW-River Falls
P.O. Box 2000 1 University Plaza 410 S. 3rd Street
Kenosha, WI 53141-2000
River Falls, WI 54022-5001
(262) 595-2355 (608) 342-1125 (715) 425-3500
admit@uwrf.edu
UW-Stevens Point UW-Stout UW-Superior
1108 Fremont Street 124 Bowman Hall P.O. Box 2000
Stevens Point, WI 54481-3897 Menomonie, WI 54751-0790 Belknap & Catlin
(715) 346-2441 (715) 232-1232 Superior, WI 54880-4500
[email protected] admissions@uwstout.edu (715) 394-8230
admissions@uwsuper.edu
UW-Whitewater
800 W. Main Street
Whitewater, WI 53190-1791
(262) 472-1440
uwwadmit@uww.edu
Freshman/Sophomore Colleges
UW-Baraboo/Sauk County UW-Barron County UW-Fond du Lac
1006 Connie Road 1800 College Drive 400 University Drive
Baraboo, WI 53913-1098 Rice Lake, WI 54868-2497 Fond du Lac, WI 54935-2998
(608) 355-5230 (715) 234-8024 (920) 929-3606
UW-Fox Valley UW-Manitowoc UW-Marathon County
1478 Midway Road 705 Viebahn Street 518 S. 7th Avenue
Menasha, WI 54952-1224 Manitowoc, WI 54220-6699 Wausau, WI 54401-5396
(920) 832-2620 (920) 683-4707 (715) 261-6241
UW-Richland
750 W. Bay Shore Street 2000 W. 5th Street 1200 Highway 14 West
Richland Center, WI 53581-1399
(715) 735-4301 (715) 389-6500 (608) 647-8422
UW-Rock County UW-Sheboygan UW-Washington County
2909 Kellogg Avenue One University Drive 400 University Drive
Janesville, WI 53546-5699 Sheboygan, WI 53081-4789 West Bend, WI 53095-3699
(608) 758-6523 (920) 459-6633 (262) 335-5201
UW-Waukesha UW Colleges Online
1500 N. University Drive 505 S. Rosa Road, Suite 200
Waukesha, WI 53188-2799 Madison, WI 53719-1277
(262) 521-5040 (877) 449-1877
wak[email protected] academicadvisor@uwc.edu
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